Individual
AMBER DURBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA. LPC-C
Contact information
Practice address
1442 E OAK ST, CUSHING, OK 74023-3644
(918) 399-4938
Mailing address
1442 E OAK ST, CUSHING, OK 74023-3644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932658168
—
OK
Enumeration date
09/29/2016
Last updated
05/02/2022
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